What is CPT code 83880?

CPT code 83880 represents Natriuretic Peptide testing, which falls under Pathology and Laboratory Procedures, specifically Chemistry Procedures. It involves moderate-level medical decision-making.

What factors affect fee schedules for CPT 83880?

Fee schedules for CPT 83880 are affected by government-set rates (Medicare & Medicaid), negotiated rates with private insurance companies, geographic location (costs may be higher in urban areas), and provider type (e.g., hospital vs. private practice).

What is a CPT code and why is it important for understanding medical costs?

A CPT (Current Procedural Terminology) code is a standardized five-digit code used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for consistent communication between doctors, patients, and insurance companies. Understanding CPT codes helps in accurately billing for services, processing insurance claims, and determining the cost or reimbursement for specific procedures.

How can I find out the cost of a specific medical procedure or service?

Medical procedure costs can vary significantly based on your location, the specific healthcare provider, and your insurance plan. To find pricing for a specific medical procedure or service, especially based on a CPT code and your location, you can use a tool like Payerprice. Payerprice offers a fee schedule lookup tool that allows users to search with a CPT code and specific location to get an estimate. It's also advisable to contact your insurance provider and the healthcare facility directly for the most accurate and personalized cost estimates.

What is a fee schedule and how does it relate to medical billing?

A fee schedule is a comprehensive list of fees used by insurance companies and government programs (like Medicare or Medicaid) to determine the maximum amount they will pay for specific medical services, procedures, and supplies. It dictates the reimbursement rates for healthcare providers. When a medical bill is submitted, it is reviewed against the payer's fee schedule to calculate the allowed amount, which is the basis for how much the payer and the patient are responsible for.

Why do medical costs vary so much, even for the same procedure?

Medical costs can vary widely due to several factors. These include geographic location (costs are often higher in urban areas), the type of facility (hospital outpatient departments typically charge more than independent clinics), the specific healthcare provider's negotiated rates with insurance companies, the complexity of the procedure, and market competition. Your insurance plan and its benefits also play a significant role in your out-of-pocket expenses.

Where can I find information about Medicare (CMS) reimbursement rates?

Information about Medicare (CMS) reimbursement rates for various medical services can be found on the official Centers for Medicare & Medicaid Services (CMS) website. CMS publicly releases fee schedules and payment data for services covered by Medicare. These resources provide general information on what Medicare pays, but for specific individual costs, it's always best to consult with your provider or Medicare directly. Remember that these rates apply specifically to Medicare beneficiaries and may differ from private insurance rates.

How can I compare prices for medical services in my area?

Comparing prices for medical services in your area can help you make informed healthcare decisions. For a comprehensive comparison, especially when you have a CPT code and specific location in mind, you can utilize tools like Payerprice. Payerprice offers a fee schedule lookup tool designed for users to search with a CPT code and specific location to compare potential costs. Additionally, you should contact different healthcare providers directly to request price quotes and consult with your insurance company to understand your out-of-pocket responsibilities for various in-network options.

CPT 83880 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Peptide Hormone Test, This Test Measures The Quantity Of Peptide Hormones In A Blood Sample And Can Help To Diagnose Various Types Of Heart Failure.

Key Fact	Detail
Service Type	Pathology and Laboratory Procedures Chemistry Procedures
Common Place of Service	81 - Independent Laboratory 21 - Inpatient Hospital
Common Modifiers	None 26 - Professional component TC - Technical component
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 83880
Medicaid Fee Schedule	View Medicaid rates for 83880

National average reimbursement for CPT 83880 by major payers:

$32.29

$25.56

$44.86

$56.67

Compare published rates across providers.

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CPT 83880

5 of 25 sample ratesHigher to lower in this preview

Jill Cunningham
Slocum Dickson Medical Group PLLC
NYFamily Nurse PractitionerNPI 1578587515Tax ID 20-0362623
$32.61Published rate
Tawee Tanvetyanon
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLHematology & Oncology PhysicianNPI 1750303905Tax ID 59-3238640
$23.55Published rate
Stephanie Lang
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLPhysician AssistantNPI 1235408337Tax ID 59-3238640
$20.02Published rate
Bradley Griffin
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLCertified Registered Nurse AnesthetistNPI 1932199239Tax ID 59-3238640
$20.02Published rate
John Restivo
Slocum Dickson Medical Group PLLC
NYDiagnostic Radiology PhysicianNPI 1710935713Tax ID 20-0362623
$16.48Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 83880 vs. Other Chemistry Procedures Codes

The CPT 83880 code is part of the Pathology and Laboratory Procedures services used for Chemistry Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 83880 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
83735-CPT	Low	Magnesium Testing, Magnesium Testing Is Done To Assess Kidney Function Diabetes And Calcium Phosphorus Or Potassium Absorption. Magnesium Is A Mineral Needed In Trace Amounts To Help The Body Absorb Calcium.
83789-CPT	Low	Mass Spectrometry Qual Quan, Mass Spectrometry And Tandem Mass Spectrometry Eg Ms Ms Ms Maldi Ms Tof Qtof Non Drug Analyte S Not Elsewhere Specified Qualitative Or Quantitative Each Specimen
83876-CPT	Low	Blood Test For Immune Enzyme, This Test Identifies Deficiency Of Myeloperoxidase (Mpo) Which Is One Of Many Enzymes That Respond To The Presence Of Bacteria And Viruses.
83880-CPT	Low	Peptide Hormone Test, This Test Measures The Quantity Of Peptide Hormones In A Blood Sample And Can Help To Diagnose Various Types Of Heart Failure.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83880. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 83880 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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CPT 83880 Fee Schedule

Jill Cunningham

Tawee Tanvetyanon

Stephanie Lang

Bradley Griffin

John Restivo